KELLY MIKESELL

PA-C specializing in physician assistant in Provo, Utah

NPI: 1023200888

Provider Type

1

Practice Locations

Mailing Location

1055 N 500 W

ATTN: CREDENTIALING

PROVO, UT 84604

📞 8013548225

📠 8014180941

Practice Location

3570 W 9000 S STE 200

WEST JORDAN, UT 84088

📞 8015669211

📠 8015665667

Provider Information

Gender:M
Sole Proprietor:No
Enumeration Date:8/15/2007
Last Updated:2/9/2017

Credentials

Primary Credential:PA-C
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KELLY MIKESELL - Physician Assistant in Provo, Utah